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General NPI Number Information
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NPI Number | 1093708364
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Entity Type | Organization
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Legal Business Name | ROST & ASSOCIATES
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 807 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-3158
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Country | US
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Telephone | 717-843-6561
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Fax | 717-845-6941
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Provider Business Mailing Address
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Address Line | 807 S GEORGE ST
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City | YORK
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State | PA
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Zip | 17403-3158
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Country | US
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Telephone | 717-843-6561
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Fax | 717-845-6941
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/LIC. PSYCHIATRIST
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Name | POLLY M ROST
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Credential | PHD
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Telephone | 717-843-6561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State | PA
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